Healthcare Provider Details

I. General information

NPI: 1134198146
Provider Name (Legal Business Name): DENNIS ALBERT ELWELL DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E CENTRE ST
BALTIMORE MD
21202-5764
US

IV. Provider business mailing address

24 SNOWBERRY CT
COCKEYSVILLE MD
21030-1949
US

V. Phone/Fax

Practice location:
  • Phone: 410-659-5990
  • Fax:
Mailing address:
  • Phone: 856-426-1148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number25402
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: